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Comment & Response
May 19, 2015

Government Regulations on Physician Self-referral

Author Affiliations
  • 1Cardiovascular Division, Brigham and Women’s Hospital, Boston, Massachusetts

Copyright 2015 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.

JAMA. 2015;313(19):1976-1977. doi:10.1001/jama.2015.3626

To the Editor The Viewpoint from Drs Adashi and Kocher1 called for repealing the IOASE to the Stark law. The Viewpoint is problematic because it paints all clinicians with the same brush of overusing self-referral for ancillary testing for financial gain and sets a tone of guilt by designation.

This perspective dismisses the fact that the vast majority of practitioners are committed to providing patients the best care possible, in the right place, at the right time, and for the right reason. Successful and transparent application of the IOASE allows clinicians to provide important, patient-centered services in a coordinated and convenient fashion.

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